The following signs may be seen in a swine flu patient taking a turn for the worst. The U.S. Centers for Disease Control says patients showing these symptoms should seek medical care immediately.

CHILDREN: Fast or troubled breathing; skin turning bluish; not drinking enough fluids; being unusually hard to wake up or not interacting; being so irritable that the child doesn't want to be held, flu-like symptoms improve but then return with fever and worse cough; fever with a rash.

ADULTS: Difficulty breathing or shortness of breath; pain or pressure in the chest or abdomen; severe or persistent vomiting; sudden dizziness; confusion.

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